| Pride Gaz Inc | |
|
308 Stonebridge Loop Slidell LA 70458-5364 | |
| (504) 905-4445 | |
| Not Available |
| Full Name | Pride Gaz Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 308 Stonebridge Loop, Slidell, Louisiana |
| Authorized Official Name and Position | Dickson D Ogbomah (PRESIDENT) |
| Authorized Official Contact | 5049054445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride Gaz Inc 308 Stonebridge Loop Slidell LA 70458-5364 Ph: (504) 905-4445 | Pride Gaz Inc 308 Stonebridge Loop Slidell LA 70458-5364 Ph: (504) 905-4445 |
| NPI Number | 1336481449 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336481449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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